Elyssa Ann Gibbons, DPT
Physical Therapist in Boonville, MO. Individual provider (NPI-1).
NPI number1447923313
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1447923313
- Entity type
- Individual (NPI-1)
- Name
- Elyssa Ann Gibbons
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2017026630 | MO | Yes |
Other names
- Elyssa Eichelberger (Former Name)
Practice location
1731 Daniel Boone LnBoonville, MO 65233-2864
Phone 660-537-3908
Mailing address
1731 Daniel Boone LnBoonville, MO 65233-2864
Phone 660-537-3908
Other practice locations
3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Columbia, MO 65201-6517
Phone 573-449-8771
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All 5 Physical Therapist providers in Boonville · All 159 providers in Boonville
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